Was My Hip Surgery Worth It?

This is a bit more personal of a post than I’ve written for awhile, but I thought it would be important to share my thoughts and feelings about the subject. As some of you may know (if you’ve been a reader of this blog and/or have followed me on social media for awhile), I had a hip arthroscopy to repair a labral tear on my left hip last November.

Post-surgery selfie.

The surgery lasts for about 4 hours, is totally laparoscopic. I was extremely nauseous coming out of the anaesthesia which is no fun. And then there is the recovery period. The first 6 weeks you can’t put any pressure on that side (so again, for me it was the left) so I had to use crutches to get around (which was exhausting, especially because I live alone – though I did have some friends come to help throughout). You also can’t bend at more than 90 degrees during those first six weeks, and obviously, no exercising that hip. (I found some chair workouts to at least get some upper body exercise).

My very tiny scars have faded quite a bit since the surgery.

Then after the 6 weeks, you can start walking again and bending, but no “exercise” for 6 months. And by that I mean there are some physio-approved exercises including light walking and recumbant bicycling as well as specific strength exercise for it, but overall it is pretty limited. And for me, well I help my other UCTD and fibro symptoms with exercise, so being limited is not overly helpful.

Me trying to walk for the first time in 6 weeks.

Recently someone posted in an online group that I belong to, that she was diagnosed with a labral tear and was still undergoing testing for autoimmune diseases. She was asking questions about the tear and treatment options including surgery. Someone else responded to her post saying that she was told by her rheumatologist that labral tears (which can occur in almost any joint) are common in people with lupus and other connective tissue diseases. (Mind you my rheumatologist and orthopaedic surgeon said nothing about this). In my own research I had found that people with fibromyalgia tend to have much longer recovery times from the surgery. In my own experience, I realized over the summer that the pain in my left hip had returned. Not nearly as badly as it used to be, I mean I can sit (including cross-legged) for much longer than I used to be able to, but it was back nonetheless. This leads me to believe that (a) I re-tore the labrum, or (b) it just never healed properly. So that’s what I responded to this other woman’s post.

Still wondering how I survived on crutches for that long.

So, was the surgery worth it? Would I do it again? I don’t know to be honest. Perhaps not. At this moment if someone said to me, well we can go in and fix it again, I would definitely decline. So what I learned, and I suppose what this post is about, is to do A LOT of research before committing to a surgery that some doctors think will help. Unless they are making specific connections to your illness overall, something like this which is elective (because the other treatment option is physical therapy), I would say do not jump into it. I thought I had done my research but I probably didn’t do enough. That being said, I am self-compassionate and acknowledge that I made a decision based on the information I had, and that’s okay. And I choose not to forget that it perhaps did improve the quality of my life in the long-term (remember, I can sit longer now, and as a therapist that is super important). Just many things to consider.

Thanks for reading everyone, and keep making the most of it!

If you don’t mind, I’d love it if you can support my content on Patreon. I recently reduce the fee, and you get bonus perks including 2 e-books and bonus content from the podcasts. This week’s podcast episode is on how to get started with holistic health, check it out here.

Expressive Writing for Health & Mental Health

I love writing (hello, this is a blog after all) and I’ve always found it to be helpful for me in my own life (and health) journeys (that and music). I came across some research on the mental and PHYSICAL health benefits of expressive writing, so I did a bit more digging and damn, we should all be doing more of it! And hopefully, this post will inspire you to do some. Hearing that there are mental health benefits is probably less shocking than that there are physical health benefits to expressive writing, so we’ll start there, but before we get into that, let’s quickly establish what expressive writing is. Expressive writing is simply writing about our deepest thoughts and feelings about an event or situation, without holding back. When people do this, it is often through journaling, and is often free-writing, without too much thinking about it. It can be done on the computer or by hand, really whatever you prefer. The leading pioneer in this research is Pennebaker (too many articles to site them all), but I’ll site some of the other research on the subject (which also references him) at the end of the post.

Buying a journal (or using an online one) can get you in expressive writing mode.

Okay, so the mental health benefits:

  • reduces stress
  • reduces symptoms of depression
  • reduces post-traumatic symptoms
  • improves mood
  • improves focus and concentration – including in people with ADHD
  • improves working memroy
  • improves emotion regulation (which is our ability to control the quality, frequency, intensity and duration of our emotional responses to situations)
  • and it increases our self-awareness
Improve your mood!

If these aren’t good enough reasons to do some expressive writing, then maybe the physical health benefits will convince you:

  • decreases the number of doctor’s visits you’ll have
  • reduces the number of days spent in the hospital
  • reduces the overall number of hospitalizations – i.e., people with cystic fibrosis
  • reduces blood pressure
  • reduces chronic pain – i.e., cancer and chronic pain conditions
  • reduces the severity of inflammatory conditions – i.e., rheumatoid arthritis, lupus (SLE)
  • improves immune functioning – i.e., cancer, HIV
  • improves lung functioning – asthma
  • improves liver functioning
  • improves and speeds up post-operative recovery
  • improves overall physical well-being

And then, if that’s still not enough for you, there are some other general benefits:

  • reduced number of “sick” days from work plus faster return to work if you were layed off
  • increased GPA in university students
  • improved sporting performance in athletes
Even improve sporting performance! Me and some friends after a curling tournament in 2019.

Okay, so how does this all work? I mean, I understand how it can improve some of the mental health problems we may experience, because we’re writing about our thoughts and feelings. But how does it improve our physical health? Well, actually the two are related. Remember that stress has a HUGE impact on our physical health, and the mind and body are connecting, meaning that anxiety and depression can also feed into (and trauma can cause) physical health problems. The processes of expressive writing are as follows:

  • it allows for cognitive processing and restructuring of painful events and situations – cognitive restructuring changes how we perceive emotional stressors (both internal and external)
  • it allows for repeated exposure – which is controlled re-experiencing of events and situations so that they have less influence over our minds and behaviours

Improving our bodies, improves our minds and vice versa. Here’s the podcast episode on it.

How do we engage in expressive writing? According to the experts we need to write about our deepest thoughts and feelings, without holding back, about situations or events or really anything relevant to us at this moment that are painful. This could be anything from having cancer, to spending time in the hospital to going through a traumatic event. When we sit down to write, it should be for 15-20 minutes at time, without stopping, and be done on 4 consecutive days. Just doing that is enough to lead to all the benefits I listed earlier. It’s possible that more consistent writing could have more improvements, but I honestly didn’t find much on that. So, I’m curious, who’s going to try out some of this expressive writing to see if it helps?

Me! Me! I like health & well-being!

I want to remind everyone that in addition to this blog, if you’re looking for more information to improve your health, I have a podcast: Chronically Living and how to make the most of it, which is available on Apple, Spotify and everywhere else you get podcasts, including this web link. I also have a YouTube channel for those of you looking to incorporate more mindfulness as it has a number of benefits for your physical and mental health as well: Kelsey L Harris Meditations.
Until next week, keep making the most of it!

References:

Baikie, K.A., & Wilhelm, . (2018). Emotional and physical health benefits of expressive writing. Advances in Psychiatric Treatment, 11(5), 338-346. https://doi.org/10.1192/apt.11.5.338
Lepore, S-J., Greenberg, M.A., Bruno, A., Smyth, J.M. (2002). Expressive writing and health: Self-regulation of emotion-related experience, physiology and behaviour. In S.J. Lepore & J.M. Smyth (Eds), The writing cure: How expressive writing promotes health and emotional well-being (p. 99-117). American Psychological Association. https://doi.org/10.1037/10451-005
Stanton, A.L., Danoff-burg, S., & Huggins, M.E. (2002). The first year after breast cancer diagnosis: Hope and coping strategies as predictors of adjustment. Psycho-Oncology, 11(2), 93-102. https://doi.org/10.1002/pon.574